Children/Youth Directory Update 17-18

2017-18 Children & Youth Directory Update
The information below will be included in the 2017-18 Children & Youth Directory.

* Indicates required field

Child/Youth's Name *

First

Last

Select from one of the following: *

My child's information is correct from last year's directory. My child's information has changed. (Continue to next section) I do not wish to be in the directory this year. I would like to add my child to the directory for the first time. (Continue to next section)

♦ Complete ONLY the information below that needs to be updated.
♦ Fill out all information for first time entry into the directory.

Child's Birthdate *

Child's Home Address *

Grade Entering *

Child's Main Contact # *

Email (Youth Only) *

Cell Number (Youth Only) *

Parents/Guardians Information:

Mother/Guardian's Name *

First

Last

Mother's Cell *

Mother's Email *

Mother's Address (if different than child's) *

Mother's Home Phone *

Mother's Work Phone *

Father/Guardian's Name *

First

Last

Father's Cell *

Father's Email *

Father's Address (if different than child's) *

Father's Home Phone *

Father's Work Phone *

Submit

♦ Complete ONLY the information below that needs to be updated. ♦ Fill out all information for first time entry into the directory.

♦ Complete ONLY the information below that needs to be updated.
♦ Fill out all information for first time entry into the directory.